- Enrollment id
- O20120319000123
- Enrollment state
- PA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1235198326
- Multiple npi flag
- N
- Ccn
- 395951
- Associate id
- 2961310446
- Organization name
- LEHIGH VALLEY HOSPITAL
- Doing business as name
- LEHIGH VALLEY HOSPITAL TRANSITIONAL SKILLED UNIT
- Incorporation date
- 1971-05-20
- Incorporation state
- PA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- LEHIGH VALLEY HOSPITAL TSU
- Address line 1
- 1627 CHEW ST
- City
- ALLENTOWN
- State
- PA
- Zip code
- 181023648